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WAGNER CHIROPRACTIC CLINIC
NPI 1689798092
Chiropractor in Wagner, SD

Active since March 19, 2007
109 1ST ST. SW, WAGNER, SD 57380(605) 384-5419(605) 384-5410 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wagner Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAGNER CHIROPRACTIC CLINIC (NPI 1689798092) is a healthcare organization registered as a chiropractor in Wagner, South Dakota and active in the NPI registry since March 2007. The organization lists Jay Joseph Fitzgerald, Owner, as its authorized official.

NPPES Registry Identity

NPI1689798092
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJAY J FITZGERALD DC
Location Address109 1ST ST. SWWagner, SD 57380-0758
Mailing Address109 1st St. Sw, P.o. Box 758Wagner, SD 57380-0758 · (605) 384-5419 · Fax (605) 384-5410
Phone(605) 384-5419
Fax(605) 384-5410
Organization SubpartNo
Authorized OfficialJay Joseph FitzgeraldOwner · (605) 384-5419
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 16, 2008
✔ NPI 1689798092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SD · 840
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
109 1ST ST. SW, Wagner, SD 57380
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Other Names 1

Doing Business AsWagner Chiropractic Clinic

Other Identifiers 3

Medicare PINS41227SD
Medicaid7604080SD
Medicare UPIN59402SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay J Fitzgerald Dc's NPI number?

The NPI number for Jay J Fitzgerald Dc is 1689798092. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Wagner Chiropractic Clinic.

Where is Jay J Fitzgerald Dc located?

Jay J Fitzgerald Dc is located at 109 1st St. SW, Wagner, SD 57380. The listed phone number is (605) 384-5419.

What is Jay J Fitzgerald Dc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jay J Fitzgerald Dc was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.